Estate Planning Worksheet
General Information
Date:
Phone:
E-Mail:
Street:
City:
County:
State:
Zip Code:
Your Information
Spouse Information
(If Applicable)
U.S. Citizen:
yes
no
First Name:
Middle Initial:
Last Name:
Date of Birth:
U.S. Citizen:
yes
no
First Name:
Middle Initial:
Last Name:
Date of Birth:
What is your primary motivation for considering estate planning?
Avoid probate:
Guardianship for minor children:
Disabled child:
Business Owner:
Federal estate tax planning:
(assets $2,000,000 or above)
Other:
Which profile best fits you:
Married or single with minor children
Married or single with adult children.
Married or single, no children.
Caregiver for elderly relatives
Other.
Schwartz Manes Ruby & Slovin, LPA | 441 Vine Street, Suite 2900 | Cincinnati, Oh 45202-3090 | 513.579.1414